Harris P, Karmi M Z, McClemont E, Matlhoko D, Paul K S
Paraplegia. 1980 Oct;18(5):324-30. doi: 10.1038/sc.1980.59.
In a study of 145 patients with severe cervical spine injury, it was found that 79 had serious neurological disturbance. A policy of the earliest possible referral to a spinal paralysis service is recommended. Associated injuries and in particular a head injury can make early precise neurological diagnosis difficult, and may affect management of the spinal injury. The use of Gardner Wells Skull Tongs and the Edinburgh Simpson Bed is recommended. Early spinal operation does not influence outcome of neurological function. Anatomical re-alignment of the spine is not essential for neurological recovery. Myelography is very rarely of benefit in assisting diagnosis and treatment. Glucocorticosteroids and Mannitol do not appear to influence neurological recovery. The prognosis in relation to clinical neurological syndromes is discussed.
在一项针对145例严重颈椎损伤患者的研究中，发现79例存在严重神经功能障碍。建议采取尽早转诊至脊髓麻痹治疗机构的策略。合并伤，尤其是头部损伤，会使早期精确的神经功能诊断变得困难，并可能影响脊柱损伤的治疗。建议使用加德纳·韦尔斯颅骨钳和爱丁堡辛普森床。早期脊柱手术并不影响神经功能的恢复结果。脊柱的解剖复位对于神经功能恢复并非必不可少。脊髓造影在辅助诊断和治疗方面很少有帮助。糖皮质激素和甘露醇似乎并不影响神经功能恢复。文中讨论了与临床神经综合征相关的预后情况。
